Search Results: " a certificate of cancellation and/or dissolution "
Reinstatements
Has your business become inactive? There is a 5-year period during which an inactive entity can reinstate. After 5 years, the Office of the Clerk does not have the authority to reinstate an inactive business entity.
Reinstating online is the most efficient way to reinstate your business. You can view our how-to guide to help you complete this process in the Clerk's Information System (CIS).
(Please Note: Inactive Registered Limited Liability Partnerships file for status restoration).
2007_AR
Forms
| Action | Form Name |
|---|---|
| Change Name Correct SSN or FEIN Trade Name Notification Clearance Letter (moving out of Virginia) |
Form 5001 |
| Individual License Cancellation Request Form | Individual Cancellation |
| Agency License Cancellation Request Form | Agency Cancellation |
| Request for List of Resident Agents for Continuing Education Mailings | Guidelines and Form |
| Lines of Authority - Full Lines | Form Name |
| Life & Annuities Variable Contract Health Personal Lines Property & Casualty Title Title Instructor Certification and Affidavit of Course Completion |
Form 3001 (initial) Certification and Affidavit |
| Lines of Authority - Limited Lines | Form Name |
| Limited Lines Credit Limited Lines Life & Health Limited Lines Property & Casualty Motor Vehicle Rental Contract |
Form 3001 (initial) |
| Lines of Authority - Temporary | Form Name |
| Temporary Life & Health Temporary Life & Health (Debit Only) Temporary Property & Casualty |
Form 3001 (initial) |
| Lines of Authority - Non-Standard | Form Name |
| Consultant (Life & Health) Consultant (Property & Casualty) Public Adjuster Viatical Settlement Broker |
Form 3001 (initial) Form 3001REN (renewal) |
| Surplus Lines Broker | Form 3001 (initial) Form 3001REN (renewal) SLB-2 |
| Lines of Authority - Business Entity (Agency) | Form Name |
| Life & Annuities Variable Contracts Health Property & Casualty Title Limited Property & Casualty – Portable Electronic Insurance Limited Property & Casualty – Travel Insurance Limited Property & Casualty – Self Storage Insurance |
Form 4052 (initial) |
| Lines of Authority - Non-Standard Business Entity (Agency) | Form Name |
| Consultant (Life & Health) Consultant (Property & Casualty) Public Adjuster Viatical Settlement Broker |
Form 4052 (initial) Form 4052REN (renewal) |
| Surplus Lines Broker | Form 4052 (initial) Form 4052REN (renewal) SLB-2 |
| License Type - Reinsurance Intermediary | Form Name |
| Initial Application | RI-app |
| Renewal Application | RI-renew |
| Appointment | Form Name |
| Appointment Form | Form 4151 |
| Appointment Cancellation Form | Form 4921 |
| Non-Licensed 1033 Consent Waiver Form | Form Name |
| Non-Licensed 1033 Consent Waiver Form | Form 1033 |
| RESA Forms | Form Name |
| Title Settlement Agent and Agency Financial Responsibility Certification Form | TSA Form |
| Title Settlement Agent Surety Bond | TSA Surety Bond |
| Waiver of Blanket Fidelity Bond or Employee Dishonesty Insurance Policy for Title Insurance Settlement Agents | TSA Waiver |
| Settlement Agent Official Registration Form - Individual | RESA Individual |
| Settlement Agent Registration Form - Corporation or Other Legal Entity | RESA Corp |
| Annuity Suitability | Form Name |
| Insurance Agent (Producer) Disclosure for Annuities | Form CN01 |
| Consumer Refusal to Provide Information | Form CN02 |
| Consumer Decision to Purchase an Annuity NOT Based on a Recommendation | Form CN03 |
| Unlicensed Ocean Marine Disclosure Form | Form Name |
| Unlicensed Ocean Marine Disclosure Form | Unlicensed Ocean Marine Disclosure Form |
| Annual Certification of Anti-Fraud Initiatives Form | Form Name |
| Annual Certification of Anti-Fraud Initiatives Form | Annual Certification of Anti-Fraud Initiatives Form |
2019AR
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CHK230
2023AR
Fictitious Names
You will receive a Fictitious Name receipt once you’ve filed your Fictitious Name.
You may request a certified copy of your Fictitious Name receipt online using the Clerk's Information System (CIS) or request a Certificate of Fact of Fictitious Name in writing from the Office of the Clerk. The filing fee is $6.
Mail
Office of the Clerk
P.O. Box 1197
Richmond, Virginia 23218
Physical Address
Office of the Clerk
1st floor
1300 E. Main St.
Richmond, VA 23219
